ADG'02 Registration Form

 

Name:

Affiliation:

Full address:

Country:

e-mail:

Telephone:

Telefax:

 

 

For lunches etc.:          o vegetarian             o regular food

 

 

Conference Registration fee:

 

Registration and payment received by July 13, 2002

Registration and payment received after July 13, 2002

o Regular *

EURO 270,--

EURO 300,--

o Students **

EURO 130,--

EURO 150,--

 

Payment:

Payment should be made in EURO. Please note that bank fees must be paid by the participant.

o payment will be made by bank transfer into the following account:

        Raiffeisenbank Hagenberg/Pregarten

        BLZ (bank code): 34460

        Account number: 850-05.225.321

        Specify: "ADG'02 Conference" and name of participant

o I hereby authorize the conference treasurer to charge my credit card for the

amount mentioned in "Total costs".

                  o American Express

                  o Eurocard/Mastercard

                  o Visa

          Card holder's name:

          Credit card number:                                                     Expiration date:        

o cash at registration desk

* Fee for regular participant includes: abstracts, refreshment breaks, lunches, conference banquet, shuttle bus from conference hotel to the conference site and back.

** Fee for students includes: abstracts, refreshment breaks, lunches, shuttle bus from conference hotel to the conference site and back.

___________________________________________________________________________

For hotel reservation in conference hotels:

IBIS in the city of Linz    

          o single room           EURO 63,--

          o double room           EURO 87,--

 

Student residence in Hagenberg at the conference site (25 km outside of Linz)

          o single room                             EURO 22,--

          o double room per person           EURO 21,--

 

Expected date of arrival:

Expected date of departure:

Payment should be made directly to the hotel, when checking out. A deposit is not required. Please communicate any changes in arrival or departure dates promptly. In case of non-appearance, you can be charged for the costs involved.

 

Special requests:

 

 

Date:                                             Signature:

 

The completed form can be either mailed, faxed or emailed to:

                    Mrs. Ramona Poechinger

                    RISC-Linz

                    Johannes Kepler Universitšt Linz

                    Schloss Hagenberg

                    A-4232 Hagenberg, Austria

                    Fax: +43 732 2468 9930

                    Email: ramona.poechinger@risc.uni-linz.ac.at

For further information see the web page

http://www.risc.uni-linz.ac.at/conferences/adg2002/